scholarly journals Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums (Preprint)

2019 ◽  
Author(s):  
Anna Robinson ◽  
Andrew K Husband ◽  
Robert D Slight ◽  
Sarah P Slight
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Weight Loss ◽  
Health Care Professionals ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Accurate Information ◽  
Online Forums ◽  
Care Giving

BACKGROUND The internet has become an important medium within health care, giving patients the opportunity to search for information, guidance, and support to manage their health and well-being needs. Online forums and internet-based platforms appear to have changed the way many patients undergoing bariatric surgery view and engage with their health, before and after weight loss surgery. Given that significant health improvements result from sustained weight loss, ensuring patient adherence to recommended preoperative and postoperative guidance is critical for bariatric surgery success. In a patient cohort with high information needs preoperatively, and notoriously high attrition rates postoperatively, online forums may present an underutilized method of support. OBJECTIVE The aim of this study was to conduct a narrative review focusing on the developing roles that online forums can play for patients with bariatric conditions preoperatively and postoperatively. METHODS A literature search was conducted in October-November 2019 across 5 electronic databases: Scopus, EMBASE, PsycINFO, CINAHL, and MEDLINE. Qualitative or mixed methods studies were included if they evaluated patients undergoing bariatric surgery (or bariatric surgery health care professionals) engaging with, using, or analyzing online discussion forums or social media platforms. Using thematic analysis, themes were developed from coding patterns within the data to identify the roles and challenges of online forums for patients undergoing bariatric surgery. RESULTS A total of 8 studies were included in this review, with 5 themes emerging around (1) managing expectations of a <i>new life</i>; (2) decision making and signposting; (3) supporting information seeking; (4) facilitating connectedness: peer-to-peer social and emotional support; and (5) enabling accessibility and connectivity with health care professionals. CONCLUSIONS Online forums could offer one solution to improving postoperative success by supporting and motivating patients. Future research should consider how best to design and moderate online forums for maximal effectiveness and the sharing of accurate information. The surgical multidisciplinary team may consider recommendations of online peer-support networks to complement care for patients throughout their surgical journey.

scholarly journals Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums

10.2196/17230 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e17230
Author(s):  
Anna Robinson ◽  
Andrew K Husband ◽  
Robert D Slight ◽  
Sarah P Slight
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
Weight Loss ◽  
Health Care Professionals ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Accurate Information ◽  
Online Forums ◽  
Care Giving

Background The internet has become an important medium within health care, giving patients the opportunity to search for information, guidance, and support to manage their health and well-being needs. Online forums and internet-based platforms appear to have changed the way many patients undergoing bariatric surgery view and engage with their health, before and after weight loss surgery. Given that significant health improvements result from sustained weight loss, ensuring patient adherence to recommended preoperative and postoperative guidance is critical for bariatric surgery success. In a patient cohort with high information needs preoperatively, and notoriously high attrition rates postoperatively, online forums may present an underutilized method of support. Objective The aim of this study was to conduct a narrative review focusing on the developing roles that online forums can play for patients with bariatric conditions preoperatively and postoperatively. Methods A literature search was conducted in October-November 2019 across 5 electronic databases: Scopus, EMBASE, PsycINFO, CINAHL, and MEDLINE. Qualitative or mixed methods studies were included if they evaluated patients undergoing bariatric surgery (or bariatric surgery health care professionals) engaging with, using, or analyzing online discussion forums or social media platforms. Using thematic analysis, themes were developed from coding patterns within the data to identify the roles and challenges of online forums for patients undergoing bariatric surgery. Results A total of 8 studies were included in this review, with 5 themes emerging around (1) managing expectations of a new life; (2) decision making and signposting; (3) supporting information seeking; (4) facilitating connectedness: peer-to-peer social and emotional support; and (5) enabling accessibility and connectivity with health care professionals. Conclusions Online forums could offer one solution to improving postoperative success by supporting and motivating patients. Future research should consider how best to design and moderate online forums for maximal effectiveness and the sharing of accurate information. The surgical multidisciplinary team may consider recommendations of online peer-support networks to complement care for patients throughout their surgical journey.

scholarly journals Why Do People Undergo THR and What Do They Expect to Gain—A Comparison of the Views of Patients and Health Care Professionals

2020 ◽  
Vol 7 (6) ◽  
pp. 1778-1787
Author(s):  
Shayan Bahadori ◽  
Sarah Collard ◽  
Jonathan Mark Williams ◽  
Ian Swain
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Public Involvement ◽  
Well Being ◽  
Patient And Public Involvement ◽  
Future Research ◽  
Activity Monitors ◽  
Dog Walking ◽  
Future Research Project

Little concerted effort has been made to understand why individuals undergo total hip replacement (THR) surgery and their rehabilitation goals. Similarly, insight of views and perspective of health care professionals’ (HCPs) regarding surgery and what objective measures help them with decision-making is lacking. This patient and public involvement report aimed to explore both patients’ and HCPs’ perspectives of THR surgery. Twenty patients, 10 pre-THR, 10 post-THR, 9 physiotherapists, and 6 surgeons took part. Results suggest a consensus among patients and HCPs on pain reduction being the main reason for undergoing THR. The inability to carry out simple daily activities such as dog walking and sleep deprivation had a significant effect on patients’ mental and physical well-being. This article is the first to explore the views of THR patients and HCPs on reasons behind THR surgery amalgamated into a single report. As walking is important, wearable activity monitors are suggested as a possible motivator to enhance patient compliance to self-care rehabilitation and increase quality of life. A future research project on the use of such wearable activity monitors in enhancing mobility post-THR is therefore planned.

scholarly journals HARNESSING THE POWER OF NETWORKS: PARTNERSHIPS TO PROMOTE HEALTH AND WELL-BEING FOR FAMILY CAREGIVERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S539-S539
Author(s):  
Heather Young
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Professionals ◽  
Family Caregiving ◽  
Well Being ◽  
Routine Care ◽  
Economic Security ◽  
Functional Health ◽  
Future Research ◽  
Health And Well Being

Abstract This paper will address social and professional networks that support family caregivers who are providing care to older adults. Family caregiving is commonly a long-term commitment that can include functional, health care, social, financial and emotional support. This role can have a major impact on the health, well-being and economic security of the family caregiver, particularly for those who are socially isolated. This paper will highlight the nature of caregiving demands on individuals and families, particularly those providing intense and complex care, with a focus on cultural diversity. Health care professionals encounter family caregivers during routine care and at times of crisis and have an opportunity to enhance support and preparation. This paper will discuss effective community-level and health system partnerships and strategies that promote health and well-being for family caregivers, examine the potential for scaling these approaches, and suggest priorities for education, practice and future research.

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review (Preprint)

2021 ◽  
Author(s):  
Michael Butzner ◽  
Yendelela Cuffee
Keyword(s):  
United States ◽  
Health Care ◽  
Rural Communities ◽  
Health Care Professionals ◽  
Health Care Service ◽  
The United States ◽  
Narrative Review ◽  
Future Research ◽  
Positive Outcomes ◽  
The Impact

BACKGROUND In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. OBJECTIVE The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. METHODS A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. RESULTS Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients and health care professionals. The included studies reported positive outcomes and experiences of telehealth use in rural populations including acceptability and increased satisfaction; they also noted that technology is convenient and efficient. Other notable benefits included decreased direct and indirect costs to the patient (travel cost and time) and health care service provider (staffing), lower onsite health care resource utilization, improved physician recruitment and retention, improved access to care, and increased education and training of patients and health care professionals. CONCLUSIONS Telehealth models were associated with positive outcomes for patients and health care professionals, suggesting these models are feasible and can be effective. Future telehealth interventions and studies examining these programs are warranted, especially in rural communities, and future research should evaluate the impact of increased telehealth use as a result of the COVID-19 pandemic.

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

10.2196/29575 ◽  
2021 ◽  
Vol 23 (8) ◽  
pp. e29575
Author(s):  
Michael Butzner ◽  
Yendelela Cuffee
Keyword(s):  
United States ◽  
Health Care ◽  
Rural Communities ◽  
Health Care Professionals ◽  
Health Care Service ◽  
The United States ◽  
Narrative Review ◽  
Future Research ◽  
Positive Outcomes ◽  
The Impact

Background In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. Objective The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. Methods A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. Results Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients and health care professionals. The included studies reported positive outcomes and experiences of telehealth use in rural populations including acceptability and increased satisfaction; they also noted that technology is convenient and efficient. Other notable benefits included decreased direct and indirect costs to the patient (travel cost and time) and health care service provider (staffing), lower onsite health care resource utilization, improved physician recruitment and retention, improved access to care, and increased education and training of patients and health care professionals. Conclusions Telehealth models were associated with positive outcomes for patients and health care professionals, suggesting these models are feasible and can be effective. Future telehealth interventions and studies examining these programs are warranted, especially in rural communities, and future research should evaluate the impact of increased telehealth use as a result of the COVID-19 pandemic.

scholarly journals Occupational Stress and Psychological Well-Being: The Role of Psychological Capital

2019 ◽  
Vol 3 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Farah Shazlin Johari ◽  
Keyword(s):  
Health Care ◽  
Occupational Stress ◽  
Health Care Professionals ◽  
Psychological Capital ◽  
Well Being ◽  
Mediating Effect ◽  
Future Research ◽  
Psychological Well Being ◽  
The Relationship

Occupational stress has become an important issue in many organizations, since it significantly results in unfavorable effects on both employees and businesses including infectious diseases, malpractice, creativity, productivity and economic loss. Even though, there were plethora of research confirm the negative effect of occupational stress on employees’ psychological well-being, however, there were limited of research highlighted in the field of health care industry involving health care professionals. Furthermore, there is dearth of knowledge in the literatures focusing on mediating effect on these relationships, since there has been a rise of several interventions to strengthen the relationship between occupational stress and psychological well-being. Thus, this present study is intended to determine the relationship between occupational stress, psychological well-being and psychological capital. In addition, this study also intended to propose the role of psychological capital as mediator between these relationships. Since, the study is still at its infancy stage in the health care context, future research could integrate to expand this study especially in practical perspectives, to benefit both employees and organizations.

Teaching Interspiritual Dialogue to Health Care Professionals

2017 ◽  
Author(s):  
Kelly R. Arora
Keyword(s):  
Health Care ◽  
Doctoral Students ◽  
Health Care Professionals ◽  
Well Being ◽  
Course Structure ◽  
Beliefs And Practices ◽  
Pedagogical Choices ◽  
Dimensions Of Teaching ◽  
Contemporary Context ◽  
Made In

Interspiritual conversations are becoming more common in health care settings as providers recognize that patients’ diverse spiritual/religious values, beliefs, and practices may influence their health care decision-making and general well-being. This essay explores the practical dimensions of teaching health care professionals how to use an interspiritual dialogue approach grounded in values and particularism through a course entitled “Faith, Spirituality and Culture in Health Care,” which was designed for and taught to doctoral students at a Denver, Colorado, School of Pharmacy. After considering the contemporary context for teaching interspiritual dialogue to healthcare professionals, the essay reflects upon and relates the pedagogical choices made in designing and teaching the course, as well as the course structure, outline, objectives, and schedule.

scholarly journals Virtual Body Ownership Illusions for Mental Health: A Narrative Review

2021 ◽  
Vol 10 (1) ◽  
pp. 139
Author(s):  
Marta Matamala-Gomez ◽  
Antonella Maselli ◽  
Clelia Malighetti ◽  
Olivia Realdon ◽  
Fabrizia Mantovani ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Body Ownership ◽  
Surrounding Environment ◽  
Wide Range ◽  
Clinical Conditions ◽  
Virtual Body

Over the last 20 years, virtual reality (VR) has been widely used to promote mental health in populations presenting different clinical conditions. Mental health does not refer only to the absence of psychiatric disorders but to the absence of a wide range of clinical conditions that influence people’s general and social well-being such as chronic pain, neurological disorders that lead to motor o perceptual impairments, psychological disorders that alter behaviour and social cognition, or physical conditions like eating disorders or present in amputees. It is known that an accurate perception of oneself and of the surrounding environment are both key elements to enjoy mental health and well-being, and that both can be distorted in patients suffering from the clinical conditions mentioned above. In the past few years, multiple studies have shown the effectiveness of VR to modulate such perceptual distortions of oneself and of the surrounding environment through virtual body ownership illusions. This narrative review aims to review clinical studies that have explored the manipulation of embodied virtual bodies in VR for improving mental health, and to discuss the current state of the art and the challenges for future research in the context of clinical care.

Caring for Gravely Ill Children

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 433-439 ◽  
Author(s):  
Alan R. Fleischman ◽  
Kathleen Nolan ◽  
Nancy N. Dubler ◽  
Michael F. Epstein ◽  
Mary Ann Gerben ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Treatment Plan ◽  
Ethics Committees ◽  
Well Being ◽  
Pediatric Health Care ◽  
Spiritual Well Being ◽  
Primary Focus

Background. Much has been written about the care of the hopelessly ill adult, but there is little guidance for pediatric health care professionals in the management of children who are critically or terminally ill. Methods. Through a 3-day meeting in Tarrytown, NY, attended by a group of pediatricians and others directly involved in these issues, a principled approach was developed for the treatment of, and health care decision-making for, children who are gravely ill. Results. The group agreed that the needs and interests of the child must be the central focus of any treatment plan and that the child should be involved to as great extent possible, consistent with developmental maturity, in the decision-making process. Quality of future life should be viewed as being relevant in all decisions. Parents are believed to be the natural guardians of children and ought to have great latitude in making decisions for them. However, parental discretion is not absolute and professionals must maintain an independent obligation to protect the child's interests. Conclusions. Decision-making should be collaborative among patient, parents, and professionals. When conflict arises, consultation and ethics committees may assist in resolution. When cure or restoration of function is no longer possible, or reasonable, promotion of comfort becomes the primary goal of management. Optimal use of pain medication and compassionate concern for the physical, psychological, and spiritual well-being of the child and family should be the primary focus of the professionals caring for the dying child.

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